Activation of spinal alpha-7 nicotinic acetylcholine receptor attenuates remifentanil-induced postoperative hyperalgesia.

Wei Zhang, Yue Liu, Bailing Hou, Xiaoping Gu, Zhengliang Ma
Author Information
  1. Wei Zhang: Department of Anesthesiology, Drum Tower Hospital of Clinic Department of Nanjing Medical University Nanjing 210008, Jiangsu, People's Republic of China.
  2. Yue Liu: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Nanjing 210008, Jiangsu Province, China.
  3. Bailing Hou: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Nanjing 210008, Jiangsu Province, China.
  4. Xiaoping Gu: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Nanjing 210008, Jiangsu Province, China.
  5. Zhengliang Ma: Department of Anesthesiology, Drum Tower Hospital of Clinic Department of Nanjing Medical University Nanjing 210008, Jiangsu, People's Republic of China.

Abstract

The activation of alpha-7 nicotinic acetylcholine receptors (α7-nAchRs) are currently being considered as novel therapeutic approaches for managing hyperalgesia in inflammation and chronic neuropathic pain, but the role of a7-nAChRs on opioids induced hyperalgesia remain unknown. The present study investigated the effects of α7-nAChRs selective agonists PHA-543613 and type II positive allosteric modulators (PAMs) PNU-120596 in remifentanil induced postoperative hyperalgesia. As the results shown, intrathecal treatment with both α7-nAChRs agonists and type II PAMs could attenuate remifentanil induced hyperalgesia by increasing paw withdrawal mechanical threshold (PWMT) and paw withdrawal thermal latency (PWTL). Furthermore, we also investigated the protein level of proinflammatory cytokines and phosphorylation N-methyl-d-aspartate receptor 2B subunit (p-NR2B) in the spinal cord. Our data indicated that activation of α7-nAchRs decreased the proinflammatory cytokines (TNF-α, IL-6) and p-NR2B protein level in the spinal cord. The depression of the increased levels of proinflammatory cytokines and p-NR2B after remifentanil treatment may contribute to the anti-hyperalgesia effects of PHA-543613and PNU-120596 via α7-nAChRs. Therefore, our findings demonstrated that α7-nAChRs may be potential candidates for treating opioids induced hyperalgesia.

Keywords

References

J Neurosci. 2007 May 30;27(22):6006-18 [PMID: 17537972]
Pain. 2011 Jun;152(6):1289-97 [PMID: 21396775]
Eur J Pain. 2010 May;14(5):496-502 [PMID: 19815434]
Invest Ophthalmol Vis Sci. 2008 Oct;49(10):4515-22 [PMID: 18566471]
J Neurosci Methods. 1994 Jul;53(1):55-63 [PMID: 7990513]
Mol Pain. 2009 Dec 30;5:76 [PMID: 20042082]
Anesthesiology. 2009 Dec;111(6):1334-45 [PMID: 19934880]
Anesthesiology. 2008 Apr;108(4):722-34 [PMID: 18362605]
Pain. 2003 Nov;106(1-2):49-57 [PMID: 14581110]
Biochem Pharmacol. 2007 Oct 15;74(8):1155-63 [PMID: 17707779]
Neuropharmacology. 2013 Feb;65:156-64 [PMID: 23079470]
Anesthesiology. 2005 Jul;103(1):147-55 [PMID: 15983467]
Exp Neurol. 2005 Apr;192(2):444-62 [PMID: 15755561]
Pain. 2011 Feb;152(2):419-27 [PMID: 21159431]
Anesth Analg. 2001 Jul;93(1):204-9 [PMID: 11429366]
Anesth Analg. 2014 Apr;118(4):841-53 [PMID: 24651239]
Eur J Neurosci. 2004 Jul;20(2):467-73 [PMID: 15233755]
Eur J Pain. 2014 Apr;18(4):496-505 [PMID: 24105754]
Pain. 2010 Sep;150(3):542-9 [PMID: 20619541]
Br J Anaesth. 2010 Aug;105(2):201-7 [PMID: 20511332]
Pain. 1993 Mar;52(3):259-85 [PMID: 7681556]
Physiol Rev. 2002 Oct;82(4):981-1011 [PMID: 12270950]
Pain Physician. 2011 Mar-Apr;14(2):145-61 [PMID: 21412369]
Anesthesiology. 2000 Feb;92(2):465-72 [PMID: 10691234]
J Neurosci. 2006 Apr 19;26(16):4308-17 [PMID: 16624951]
Pain. 2006 May;122(1-2):17-21 [PMID: 16564626]
J Comp Neurol. 2003 Dec 1;467(1):44-59 [PMID: 14574679]
Pharmacol Ther. 2010 Apr;126(1):56-68 [PMID: 20117131]
Pain. 1988 Jan;32(1):77-88 [PMID: 3340425]
J Exp Med. 2002 Mar 18;195(6):781-8 [PMID: 11901203]
Br J Pharmacol. 2012 Sep;167(2):421-35 [PMID: 22536953]
Pain. 1983 Jun;16(2):109-10 [PMID: 6877845]
Anesthesiology. 2006 Mar;104(3):546-55 [PMID: 16508403]
Mol Pain. 2007 Nov 01;3:33 [PMID: 17974036]
Pain. 2004 Jun;109(3):308-18 [PMID: 15157692]
Anesthesiology. 2003 Jul;99(1):152-9 [PMID: 12826855]
Brain Res Bull. 2012 Mar 10;87(4-5):427-31 [PMID: 22301064]
Recent Pat CNS Drug Discov. 2007 Jun;2(2):99-106 [PMID: 18221220]

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